diff --git a/crates/cpp/src/lib.rs b/crates/cpp/src/lib.rs
index cc2f8e98b..b34850b85 100644
--- a/crates/cpp/src/lib.rs
+++ b/crates/cpp/src/lib.rs
@@ -109,6 +109,14 @@ struct Cpp {
     import_prefix: Option<String>,
 }
 
+#[cfg(feature = "clap")]
+fn parse_with(s: &str) -> Result<(String, String), String> {
+    let (k, v) = s.split_once('=').ok_or_else(|| {
+        format!("expected string of form `<key>=<value>[,<key>=<value>...]`; got `{s}`")
+    })?;
+    Ok((k.to_string(), v.to_string()))
+}
+
 #[derive(Default, Debug, Clone)]
 #[cfg_attr(feature = "clap", derive(clap::Args))]
 pub struct Opts {
@@ -165,6 +173,14 @@ pub struct Opts {
     /// Where to place output files
     #[cfg_attr(feature = "clap", arg(skip))]
     out_dir: Option<PathBuf>,
+
+    /// Importing wit interface from custom include
+    ///
+    /// Argument must be of the form `k=v` and this option can be passed
+    /// multiple times or one option can be comma separated, for example
+    /// `k1=v1,k2=v2`.
+    #[cfg_attr(feature = "clap", arg(long, value_parser = parse_with, value_delimiter = ','))]
+    pub with: Vec<(String, String)>,
 }
 
 /// Supported API styles for the generated bindings.
@@ -498,29 +514,46 @@ impl WorldGenerator for Cpp {
         id: InterfaceId,
         _files: &mut Files,
     ) -> anyhow::Result<()> {
-        if let Some(prefix) = self
-            .interface_prefixes
-            .get(&(Direction::Import, name.clone()))
-        {
-            self.import_prefix = Some(prefix.clone());
-        }
-
-        let store = self.start_new_file(None);
         self.imported_interfaces.insert(id);
-        let wasm_import_module = resolve.name_world_key(name);
-        let binding = Some(name);
-        let mut r#gen = self.interface(resolve, binding, true, Some(wasm_import_module));
-        r#gen.interface = Some(id);
-        r#gen.types(id);
-        let namespace = namespace(resolve, &TypeOwner::Interface(id), false, &r#gen.r#gen.opts);
 
-        for (_name, func) in resolve.interfaces[id].functions.iter() {
-            if matches!(func.kind, FunctionKind::Freestanding) {
-                r#gen.r#gen.h_src.change_namespace(&namespace);
-                r#gen.generate_function(func, &TypeOwner::Interface(id), AbiVariant::GuestImport);
+        let full_name = resolve.name_world_key(name);
+        match self.opts.with.iter().find(|e| e.0 == full_name) {
+            None => {
+                if let Some(prefix) = self
+                    .interface_prefixes
+                    .get(&(Direction::Import, name.clone()))
+                {
+                    self.import_prefix = Some(prefix.clone());
+                }
+
+                let store = self.start_new_file(None);
+                let wasm_import_module = resolve.name_world_key(name);
+                let binding = Some(name);
+                let mut r#gen = self.interface(resolve, binding, true, Some(wasm_import_module));
+                r#gen.interface = Some(id);
+                r#gen.types(id);
+                let namespace =
+                    namespace(resolve, &TypeOwner::Interface(id), false, &r#gen.r#gen.opts);
+
+                for (_name, func) in resolve.interfaces[id].functions.iter() {
+                    if matches!(func.kind, FunctionKind::Freestanding) {
+                        r#gen.r#gen.h_src.change_namespace(&namespace);
+                        r#gen.generate_function(
+                            func,
+                            &TypeOwner::Interface(id),
+                            AbiVariant::GuestImport,
+                        );
+                    }
+                }
+                self.finish_file(&namespace, store);
+            }
+            Some((_, val)) => {
+                let with_quotes = format!("\"{val}\"");
+                if !self.includes.contains(&with_quotes) {
+                    self.includes.push(with_quotes);
+                }
             }
         }
-        self.finish_file(&namespace, store);
         let _ = self.import_prefix.take();
         Ok(())
     }
diff --git a/tests/runtime/cpp/cpp-with/cpp/alien.h b/tests/runtime/cpp/cpp-with/cpp/alien.h
new file mode 100644
index 000000000..7c70aec1b
--- /dev/null
+++ b/tests/runtime/cpp/cpp-with/cpp/alien.h
@@ -0,0 +1,11 @@
+#include <wit.h>
+
+namespace my {
+    namespace inline_ {
+        namespace foo {
+            struct Msg {
+                wit::string field;
+            };
+        }
+    }
+}
diff --git a/tests/runtime/cpp/cpp-with/runner.cpp b/tests/runtime/cpp/cpp-with/runner.cpp
new file mode 100644
index 000000000..c96275d64
--- /dev/null
+++ b/tests/runtime/cpp/cpp-with/runner.cpp
@@ -0,0 +1,8 @@
+//@ args = '--with my:inline/foo=alien.h'
+
+#include <runner_cpp.h>
+
+void exports::runner::Run() {
+    auto msg = my::inline_::foo::Msg { wit::string::from_view("hello") };
+    my::inline_::bar::Bar(msg);
+}
diff --git a/tests/runtime/cpp/cpp-with/test.cpp b/tests/runtime/cpp/cpp-with/test.cpp
new file mode 100644
index 000000000..355addd92
--- /dev/null
+++ b/tests/runtime/cpp/cpp-with/test.cpp
@@ -0,0 +1,6 @@
+#include <assert.h>
+#include <test_cpp.h>
+
+void exports::my::inline_::bar::Bar(::my::inline_::foo::Msg m) {
+    assert(m.field.get_view() == "hello");
+}
diff --git a/tests/runtime/cpp/cpp-with/test.wit b/tests/runtime/cpp/cpp-with/test.wit
new file mode 100644
index 000000000..a608e40cc
--- /dev/null
+++ b/tests/runtime/cpp/cpp-with/test.wit
@@ -0,0 +1,23 @@
+package my:inline;
+
+interface foo {
+  record msg {
+    field: string,
+  }
+}
+
+interface bar {
+  use foo.{msg};
+
+  bar: func(m: msg);
+}
+
+world test {
+  export bar;
+}
+
+world runner {
+  import bar;
+
+  export run: func();
+}